You do NOT have to match the insulin dose to the amount of sugar and starch in your diet

You should NOT be treated with an insulin pump

There are many different ways the insulin may be prescribed - the insulin dose regimen should match your specific needs

Insulin may be prescribed in many different ways for the treatment of type 2 diabetes - it depends on the needs of the individual person. The insulin may be given once a day, many times a day, or even via an insulin pump. It may be given as a single therapy, or together with other diabetic medications. To reduce the risk of a low blood sugar (hypoglycemia), your insulin dose should be matched to the amount of carbohydrate in your diet.

Insulin can be given either as an intensive insulin regimen or as sliding scale therapy.

True

False

True! There are many different ways that insulin therapy can be given. Intensive insulin regimens attempt to mimic the body's normal pattern of insulin secretion and use the concepts of basal and bolus insulin coverage. In order for this to control blood sugars well, intensive therapy requires more injections and calculations. However it provides more freedom and flexibility such that insulin doses can be adjusted to fit daily changes in your lifestyle.
Sliding scale therapy refers to the progressive increase in the pre-meal or nighttime insulin dose, based on pre-defined blood glucose ranges. These are more approximate doses and in order to work effectively, your food intake and activity level should be as consistent as possible.

Bolus insulin refers to a "chunk" of insulin to both control blood sugar for food and to lower a high blood sugar.

A sliding scale regimen:

Is based on pre-defined blood glucose ranges

Is a more approximate guess of daily insulin requirements

Requires a predictable and consistent lifestyle for success

All of the above

All of the answers are correct. However, the best answer is "All of the above". Although a sliding scale regimen requires less calculation on your part, consistency in your lifestyle, such as eating a pre-set amount of carbohydrate at each meal, is important for it to control blood sugars well.

If you have type 2 diabetes and are treated with insulin, your blood sugar may increase when you:

Gain weight

Are inactive

Are sick

Eat too much sugar and starch containing food, including fruit, juice or milk

Rebound from having a low blood sugar

Inject insulin into overused injection sites, scar tissue or too close to the midline

Are on the wrong dose of insulin

All of the above

All of the answers are correct. However, the best answer is "All of the above". Your blood sugar may be too high because of weight gain, inactivity, illness, excess carbohydrate (sugar and starch) in the diet, rebound from a low blood sugar, if insulin is injected into overused sites, scar tissue or too close to the midline, or because you need an adjustment in your insulin.

If you have type 2 diabetes and are treated with insulin, you may have a low blood sugar reaction (hypoglycemia) when you:

Lose weight

Exercise or increase your daily activity level

Delay eating after taking mealtime insulin

Have delayed stomach emptying due to high fat foods, nerve problems or medications such as Pramlintide or Exenitide

Cover exercise and low blood sugar related snacks with insulin

Are on the wrong dose of insulin

All of the above

All of the answers are correct. However, the best answer is "All of the above". Your blood sugar may get too low because of increased insulin sensitivity due to weight loss or exercise, a delay in eating after taking short acting insulin, slow stomach emptying, insulin is taken for snacks used to prevent or treat a low blood sugar or because you need an adjustment in your insulin dose.